New Gen NCLEX High Yield

The hospital has sounded the call for a disaster drill on the evening shift. Which of these clients would the nurse put first on the list to be discharged in order to make a room available for a new admission?

A. A middle-aged client with a history of being ventilator dependent for over seven (7) years and admitted with bacterial pneumonia five days ago.

B. A young adult with diabetes mellitus Type 2 for over ten (10) years and admitted with antibiotic-induced diarrhea 24 hours ago.

C. An elderly client with a history of hypertension, hypercholesterolemia, and lupus, and was admitted with Stevens-Johnson syndrome that morning.

D. An adolescent with a positive HIV test and admitted for acute cellulitis of the lower leg 48 hours ago.

At a community health fair, the blood pressure of a 62-year-old client is 160/96 mmHg. The client states “My blood pressure is usually much lower.” The nurse should tell the client to:

A. Go get a blood pressure check within the next 15 minutes

B. Check blood pressure again in two (2) months

C. See the healthcare provider immediately

D. Visit the health care provider within one (1) week for a BP check

A 43-year-old male with a history of recurrent renal calculi is admitted to the emergency department presenting with severe left flank pain radiating to the groin, nausea, and an episode of vomiting. He also reports burning and urgency during urination. His vital signs reveal a temperature of 100.8ºF (38.2ºC), blood pressure of 145/90 mmHg, pulse of 100 beats/min, and respiratory rate of 20 breaths/min. The client is visibly anxious and uncomfortable due to the severity of the pain. The nurse is assigned to care for the patient and must prioritize the nursing goals to ensure optimal care. Which nursing goal should be the top priority for this client?

A. Maintain fluid and electrolyte balance

B. Control nausea

C. Manage pain

D. Prevent urinary tract infection

A 68-year-old male with a history of hypertension and diabetes has undergone a cardiac catheterization to evaluate potential coronary artery disease. He has a known allergy to iodine-based contrast agents, which required premedication with corticosteroids and antihistamines. The procedure was successful, but the patient experienced brief hypotension during the administration of the contrast material. The patient has been transferred to the cardiac step-down unit for observation, and the nurse is aware of the potential complications that can arise in the initial 24 hours post-procedure. Which complication should the nurse monitor closely during this period?

A. Persistent angina despite being at rest and receiving nitroglycerin

B. Thrombus formation leading to decreased peripheral pulses and cyanosis

C. Dizziness accompanied by a sudden drop in blood pressure when standing

D. Gradual decrease in blood pressure with no other symptoms

A 15-year-old female with a history of depression is rushed to the emergency department after ingesting 15 tablets of maximum-strength acetaminophen 45 minutes ago in a su***de attempt. The patient’s vital signs are stable, but she is visibly anxious and tearful. The healthcare provider has written several orders to manage the situation. Which of the following orders should the nurse prioritize and carry out first?

A. Perform gastric lavage
B. Administer acetylcysteine (Mucomyst) orally
C. Start an IV with Dextrose 5% and 0.33% normal saline
D. Have the patient drink activated charcoal mixed with water

The nurse educates individuals on the risk factors for developing hypertension during a community health fair. Which of the following individuals are at the MOST significant risk for developing hypertension?

A 45-year-old African-American attorney with a family history of hypertension, who has a sedentary lifestyle and consumes a diet high in sodium.

A 60-year-old Asian-American shop owner with a BMI of 28, who has well-managed type 2 diabetes and engages in regular physical activity.

A 40-year-old Caucasian nurse who is a vegetarian, has a healthy BMI, and is a non-smoker but reports high levels of work-related stress.

A 55-year-old Hispanic teacher who smokes occasionally, has a healthy BMI, and participates in a moderate-intensity exercise program.